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Open Access Integration and decentralisation of TB-HIV services increases HIV testing of TB cases in Rajasthan, India

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The proportion of tuberculosis (TB) patients tested for the human immunodeficiency virus (HIV) in the state of Ra-jasthan, India, is limited by the availability of HIV testing facilities. Rajasthan implemented a policy of initiating TB-HIV diagnosis at all health institutions in July 2013. The number of TB diagnostic facilities increased from 33 to 63 in Banswara District and from 22 to 68 in Jhunjhunu District, while the number of HIV testing facilities in these districts increased from 1 to 53 and from 10 to 81, respectively, after the policy implementation. The proportion of TB patients tested for HIV increased by respectively 27% and 19%.

Keywords: HIV; India; testing; tuberculosis; underdiagnosis

Document Type: Short Communication

Affiliations: 1: World Health Organization Country Office for India, New Delhi, India 2: State Tuberculosis Office, Directorate of Medical & Health Services, Jaipur, India 3: Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia, USA 4: International Union Against Tuberculosis and Lung Disease, South-East Asia Office, New Delhi, India 5: Epidemiology and Research Division, National Tuberculosis Institute, Bangalore, India

Publication date: 21 March 2017

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  • Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.

    The Editors will consider any manuscript reporting original research on quality improvements, cost-benefit analysis, legislation, training and capacity building, with a focus on all relevant areas of public health (e.g. infection control, nutrition, TB, HIV, vaccines, smoking, COVID-19, microbial resistance, outbreaks etc).

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